Робочий аркуш «Пріоритезація та делегування» з відповідями

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe level of consciousness after a head injury
3. CThe risk of falling during a hospital stay
4. DThe risk of developing a pressure injury

Which strategy helps a nurse organize care at the start of a shift?

1. AWait until problems come up and then decide what to do
2. BDo the tasks in strict order of room number, whatever their urgency
3. CDo the quickest tasks first so the list gets shorter
4. DRank the tasks by urgency after report and plan the time around them

У визначенні пріоритетів «очікувана» ознака — це та, що:

1. AЗавжди в межах нормального референтного діапазону дорослого
2. BВідповідає відомому стану пацієнта чи лікуванню
3. CБула передбачена пацієнтом чи родиною
4. DЗавжди потребує негайного виклику команди швидкого реагування

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BSlow the transfusion and recheck in an hour
3. CFinish the unit quickly through a pressure bag so that the reaction does not last long
4. DGive an antipyretic and continue the transfusion

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AGive a dose of oxytocin straight away
2. BAsk the patient to lie still for another hour
3. CHelp the patient empty her bladder
4. DMassage the uterus firmly for ten minutes

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive oxygen at the highest flow and leave the room
4. DGive IV sodium bicarbonate as soon as it can be found

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AStandard precautions only
2. BDroplet precautions
3. CAirborne precautions
4. DContact precautions only

У пацієнта з новою трахеостомою кашель, шумне дихання, а SpO₂ впала до 86%. Яка перша дія?

1. AДати небулізований бронхолітик
2. BВідсмоктати трахеостому
3. CЗмінити зав'язки трахеостоми
4. DЗадокументувати SpO₂ і повторно перевірити через 30 хвилин